Blount v. Stanley et al

Filing 35

MEMORANDUM OPINION. Signed by District Judge Glen E. Conrad on 1/29/2014. (tvt)

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J 29 2 1
AN
29
I TH E UN I
N
TED STA TES DI
STR I CO U R T
CT
FOR THE W ESTERN DI
STRI OF W RGI A
CT
NI
ROANOK E DI SI
VI ON

DONELL J.BLOUNT,SR.
,

JULI C.
A
BY;
D

CL
L

CASE NO.7: 2CV00400
1

Pl ntf,
ai if

M EM ORANDUM OPI ON
NI
LI
NDA STANLEY,LPN,e aI,
t .

By: G l n E .Conr
e
ad
C hi fU nie St e D i t i tJudge
e
t d at s s r c

D ef
endant
s.

Done lJ.Bl mt Sr,a Vigi a i t pr e i pr K ,Gl d t s ci lrg s a ton
l
ol , .
r ni nma e oc ed ng o
e hi vi i ht c i

purua t 42 U. C.j1
s nt o
S.
983,alegng t tt dee nt Li Stnl LPN,vi ae hi
l i ha he fnda , nda a ey,
oltd s
consiutona rght by f liyi hi m e c r co d a Red Oni St t Prs i J nua y of
tt i l i s
a sf ng s dial e r t
on a e ion n a r
2011,whi de a d hi beng s he ed t s e a doc or a
ch l ye s i c dul o e
t bout hi som a h pm blm s The
s t c
e .

matri n w rp o sl r j dg n . Upo rv e o t e r c r te c u tfn s t t
te s o ie n l
mmay u me t
n e iw f h e o d, h o r id ha
De e nt St nl i e il t quaii i uniy a wilg a he moton f s ma y
f nda
a ey s ntted o
lfed mm t nd l r nt r
i or um r

j d me t nt i g omd.
u g n o hs rt
Bac ound
ker

Bl mt i a i a e a Red Oni n Stt Prs
ot s n nm t t
o a e ion. I 2001 afe Bl mtc pl ne of
n
, tr ot om ai d
r pe t d bout of s ve e he rbum
e ae
s
e r
at

a soma h pan, doc or di nos d hi wih
nd t c
i
t s ag e
m
t

Gasr es
t o ophage l Re l x D i e s , a s known a GERD. Si e t ttme,prs n docor ha
a ie
s m e lo
1 nc ha i
s
io
t s ve

contnual teae Bl
i ly r td ountw11 m e c ton ofone br nd or a he ,a dif r ntdos s Unde
t1 di a i
a
not r t fe e
e.
r
Re Oni polces i Bl bei sli med c ton i notalevitng hi s
d on i i , f ount leve ls
iai s
l ai
s ympt m ss fcenty
o ufi i l
a wihe t s t doc ora
nd s s o ee he t bouta cha i pr c i i o dos ,he mus fl a sc c l
nge n es rpton r age
t ie i k al

1 Forp p e o t ss
uross f hi ummayj gme to non,te c r s
r ud n pii h out ummaiestefcsi te lg t
rz h a t n h ih
mos fvo a e t Blu a t no
t a r bl o o nt s he nmov n . Sh w v.S r d,1 F.d 791 798( t Ci.1 9 (i dig
at a
tou 3 3
,
4h r 9 4) fn n
t to smmayj me t çheco r i rqurdt viw t fcsa d a rao bl ifrnc si a
ha n u r udg n,E ut s e ie o e he at nd rw e sna e nee e n
t
lg mos fvo a et t en movi pa y '.
iht t a r bl o h on ng r l

1

r q s a ha a nm s pe f r a sc c la s s ntofhi co ton i o d t dee m i
e ue t nd ve
e rom
ik al s es me
s ndii n r er o tr ne
whehe orno t r f rhi t t doc o .
t r
t o e e m o he t r

I De e be of 201 Bl
n cm r
0, ountwa tki a pr c i d mom i dos ofPr va d f hi
s a ng
es rbe
ng e
e ci or s
GERD s
ympt . Afe he be t ex re e E d he rbt ,som a h a t oa pan' a
oms
tr
gan o pe inc û
ba a t ml t c nd hr t i ' t
ni a s
ght nd ome na e Bl mtfld a r ques f m on De embe 30,201 , as ng t ha hi
us a, ot ie
e t or
c
r
0 ki o ve s
GERD m e cai n r we a to dic s c i d co plc tons'he was havi wih hi
di to ene d nd t s us ontnue m ia i '
t
ng t s

d t c a tloa.' Bl Afi !6- NureYaesrs
E oma h nd lr t' ount fd. 7. s t e ponde t theha be n she ed
s
d ha
d e c dul
f sc c l On J nua y 5,2011 durng t mom i pilpa s Nm s St nly g Bl unthi
or i k al.
a r
, i he
ng l s ,
e a e ave o
s
me c ton. Tha s me da Nur e Cox cn t Bl tsc la pe f r d a sck calphysc
di a i
ta
y, s
me o oun ' el nd r o me
i
l
i al
e
xnm,vi otped by as c iy ofi e .Shet Bl mtsvia sg , e hi c pl nt a
de a
e urt fc r
ook ot ' t l i ns not d s om ai s bout
r c t pr e s wih hi soma a t oa a hi be if t t hi media i s d be
e en obl m
t s t ch nd hr t nd s le ha s
c ton houl

i r s d t t tmespe da a e mi d a bump on hi kne Nur e Cox i c t d t ts
nc ea e o wo i
r y, nd xa ne
s e.
s
ndia e ha he
woul r f rBl untt s t doc ora uta m e c ton c ngea wo d o de Tylnolf hi
d ee o
o ee he t bo
dia i ha
nd ul r r e
or s
kne pan. On J nt y 7,2011 a nm s no e t tBl t ' Pr va i m e c i i ha be
e i
a mr
,
e t d ha o mts e c d s rpton d en

r ne d a t s m edos e, no doc o exa i d hi .
e we t he a
ag but
t r m ne m
On J nua y 1 2011 Bl mta ke N t s Cox durng pilpa swhy heha notye be
a r 4,
, ot s d t e
r
i
l s
d
t en

s e by adoct . Nur e Cox t d hi t as Ntr e St nly,who s i s di notknow. Bl
en
or
s
ol m o k ls a e
ad he d
ount
fl d a i o m a c
ie n nf r l ompl i o J nua y 1 2011 c
ant n a r 7,
, ompl i ngt theha nots n a docora
ani ha
d
ee
t bout
i r asng hi m e ca i de pie Nur e Co s asur nc on J nua y 5,2011 t ts woul
nc e i
s di ton, s t
s
x' s a e
a r
, ha he
d

rfrhi a hewassils frng t çsmec iai .'Bl Afi ! 11. On J r
ee m, nd
tl ufei he tn omplc tons' ount fd.
anuay
21 2011 Nur e Ya e r ponde t Bl
,
,
s
t s es
d hat ount wa s hed e f sck c l Bl un fl a
s c uld or i al. o t ied

g iva c ,a srig ta h s o l n tb r q rd t u d r o tn bec ag d fr a o h rsc
re n e se t h t e h ud o e e uie o n eg a d h r e o ) n t e ik
n
calvii,when aNtr eCox ha ar a as es e hi on J nua y 5 a pr m ie t r f rhi t
l st
ls
d le dy s s d m
a r
nd o s d o e e m o

2

t doc or Thewa de r l Bl t sgreva unf
he t .
r n ued oun ' i nce ounde , bas d on i c tonsi t m e c l
d
e
ndia i n he di a
r or t tNur e Stnly ha a s s ed hi o J nua y 5, 2011 a ha no no e a r f r a
ec ds ha
s a e d ses
m n a r
, nd d t t d ny e e r l

t s et ed co .Blu tsg iv n ea p a wa rj ce frt es mera o
o e h o tr o n ' re a c p e l s ee td o h n e s n.
Bl
ountobt i acopy ofhi medi lr c dsa dic r t tNm s St nly, r t
aned
s
ca e or nd s ove ed ha
e a e aher
t n Ntr e Cox,had c
ha ls
ompl t t sck c l r por f rt J nua y 5,2011 a s s m e . N ur e
eed he i a l e t o he a r
s e s nt
s
St nl sno e sa e t tBl mtha a ke t havehi somac m e c to r ne , c pl i
a ey' t tt d ha ot
d s do
st
h dia i n e wed om a ned
a
bouthe dac , a r ceved a or r f Tyl nol Ntr e St e s sc cal not di no
a hes nd e i
n de or e . zs nnl y' ik l e d t

i c t t tBl untha a ke f ra m e cai n i r a e ort the s d be r e r d t s e t
ndi a e ha o
d s d o
di to nc e s
ha
houl
ef re o e he
doc o .2
tr
Bl
ount s e t t fo J nua y t Aprl of 2011 s GERD s pt s wor e
lt s ha r m a r o
i
,hi
m om
s ned.
Alhough he ve ba l t d varous ntr e a
t
r ly ol
i
ls s boutt s s
he e ympt ,t y di notr f hi t t
oms he d
e er m o he
docor Uli ael Ntr e St nl y as e s d Bl mtf r sc calon Aprl5,2011 a r f red
t . tm t y, ls a e s s e ot o ik l
i
, nd e e r

hi t s et doc or Bl mtal gest t by t stm e, iwa s f rng wih s ve ehe r bur
m o e he t . ot le ha , hi i he t s uf e i
t e r a t n,

so h a t oa pan;dit te tng,dgetnga kee ng Els f downf ho sdurng
tmac nd hr t i fkul ai i si nd pi lil ood
or m
i
t day. Bl mtAfi ! 1
he ' ot
'
fd. 9.On Aprl1 2011 t dodorexa ne Bl mtf hi soma
i 9, , he
mi d ot or s t ch
c
ompli s a a l edl t d hi t t he s d ha be r f r e t a doc o i J nua y.
ant nd leg y ol m ha
houl ve en e e r d o
tr n a r
Bl
ount sa e ,Gfhe doct ,a 1 de de t t a c ng i pr c i i t Pr t x woul
t t s û'
or nd , ci d ha
ha e n es rptons o o oni
d

pr ehe i ' Bl Afi ! 1
omot alng. ount fd. 9.
'

2 I M a ch of20l1,
n r

Blu t i dac mgan t teVi ii De at n o He l P oe so as
o n fl o lit o h r na p rme t f at r fsin l
e
g
h

C( 1 ', se tngt tNureStnly h d f llidt J nu r 5 201 sc c l r p t d ume i
VD1P' a s ri ha s a e a asfe he a a y , l ik al e or by oc ntng
)

physcalas es m ent ofhi t ts ne made. N ur e Sunly uli el ent e i o a cons or
i
s s
s
m ha he ver
s
e tmat y er d nt
ent der
wih V igi a Boa d ofNursng,adm itng t ,on J
t r ni
r
i
ti hat
anuar 5,20l1,s had ddocum ent peror i a
y
he
t
ed f m ng

ph ia e lain a a s sme to a imae E ih)s dd n a t al co ee.... Blun
ysc l vau to nd se s n f n n t whc he i ot c u l mplt
y
' o t
'
Af i Ex.3.The Boar not ar i and on St e sr d.
fd.
d ed eprm
lnly' ecor

Bl tl t s j1 a ton fxmoneay da ge a i tNm s Stnly a Jne
ount sed hi 953 ci o
tr ma s gans
e a e nd a
Doe t unknown nur e who t d Nur e Stnly i r c i or i about t sc cal
, he
s
ol
s a e ncore t nf maton
he ik l

a s sme to J n ay 5, 01 . De e d n S a ly fld amoin f rs mma yj d me t a d
se s n n a u r 2 13 fn a t tne ie
to o u r u g n , n
Bl mtha r s
ot
s e ponde t t m o i mnki t m a trrpef diposton.
d o he ton,
ng he te i or s ii
D i c s on
s us i

toualfe i
û iid mmuniy pr ecsofi r who c
t ot t fces
ommi consiutonalvi ainsb who,i
t tt i
olto ut
n
lgh ofcla l e t bls d lw,c d r a o bl be ive t tt i aci nswe e lwf l' He v
i t
e ry sa ihe a oul e s na y le ha her to
r a u.
' nr

v. u n l, 5 F.d 5 4 5 ( t Ci. 01 )(iig S uce v. t , 3 U. 1 4 2 6( 0 )
P r el 6 2 3 2 , 31 4h r 2 1 ctn a ir Kaz 5 3 S. 9 , 0 2 01,
ove ze i pa tby Peas v.Cala n,555U. 223 (
m ld n r
ron
lha
S.
2009:.Quai d i miy i vesa
lfe mmt t nvol
t se i lr ()whehe t pli ifsalgai saea cli t tdee t co uc
wo-tp nqtiy: a
t r he antf le tons tt
am ha fndans' nd t

v oae a c nsi in l o sauo y rg t a i s , () wh t e t a rg t wa ce ry
i ltd o tmto a r tttr ih ; nd f o b
eh r h t ih s lal
esa ihe Sa i ,533 U . a 206. I t c tde e mi st tt f c sal ge t ke i t
t bls d. ucer
S. t
f he our tr ne ha he a t le d, a n n he
lg m os f vor e t t nonmova ,do no s
i ht
t a abl o he
nt
t how t t t ofk e ' c uc vi ae a
ha he t r s ond t olt d

c n tmto a rg tt e t emo a ti e t ldt sz r j d me twih u f te d su so
o si i n l ih ,h n h v n s ni e o l
t
mmay u g n to t urh r ic s in.
I a 201. Unde t fr tf c toft Sa i ra yss t c ti r whehe t c
d. t
r he is a e
he uc e nal i, he our nquies t r he ompli
ant

a atc nt alegeGe
nd ta hme s l énoughf t t saea( tmtona)cam t r le t ti plusbl on
acs o tt consi i l li o eif ha s a i e
isfc ' Giraa v.J l on,5 F. 298 30 ( hCi. )(ntr quoutonso te .
t a e.' a rtno oms 21 3d , 2 4t r 2008 i enal
i mitd)
Thec tmus c tuet f t i t lg mos f vor bl t t pl i if butt d nota ce
our
t onsr he acs n he i ht t a a e o he antf , t
nee
c pt

a tu t ra td i frnc s t e s n bl c n l ins o a g me t. Ll (ne n l
s t e mwarn e n ee e , mra o a e o cuso , r r u n s' I, i tr a
'
'
q o ainso te )
u tto mitd .
3 I r pons t Bl ' dicover r
n es e o ounts s
y eques s ng t i iy of Jane D oe, Nur e St nl
t eeki he dentt
s a ey
i ca e t , ot t Nur e Cox, s i not awar of any ot i vi
ndi t d hat her han
s
he s
e
her ndi dualbei i ved i t
ng nvol
n he

nu sn e la i ofBlt onJ nu r 5 201 .( No. ) NureStne as c rii dt t ec ur
r ig vau ton
omt a a y , 1 ECF 26. s a ly lo e tfe o h o t
t Red Oni has no exitng vi f
hat
on
si
deo oouge oft pilpas vi i ort sck cal œss s entpedbr
he l s st he i
l es m
med

o Bl n on J n r 5 20l1 ( No. . Fi ngt a t e ie tt ofJ neDo wa no mae ilt
n ou t a uay , . ECF 31) ndi h t h d n iy a
e s t tra o
teds sto ofNus Stne smoi f s
h ipo iin
re a ly' ton or ummayj gme t t c ur d nidBl n ' rq ssfr
r ud n,he o t e e ou ts e uet o
a tonaldicover on t sis
ddii
s
y hi s ue.

4

To sae a ca e of a ton unde j1
tt
us
ci
r 983,a pl nif mus etbls t the ha bee
aitf
t sa ih ha
s n
de
pdved of rght gua a t ed by t Consi i n o lw s of t Unie St t s a t t t s
i s r ne
he
tmto r a
he
t d a e nd ha hi
de i to r ule fom c
prvai n es t d '
r
onduc c
t omm itd by a pe s a tng unde c o ofsa e lw . W es
te
r on c i
r ol r t t a
t

v At is 4 7 U. 4 ( 9 8 . An imae camig ta h s c u s o me ia te t n
. kn , 8 S. 2 1 8 )
n t li n h t i o re f dc l rame t
n mt d t ac tt i lvi a i mus s
mot e o onsiutona olton
t how t tpe s
ha r onne t whos c r hewascommit
lo
e ae
ted

e bie t lbe ae i fe e e't hi t e i m e ca ne . Esel v. Gn bl 429 U .
xhi td d i r t ndif r nc ' o s i rous di l eds' t le
de
s
'
m e,
S.

97,1 4- 06 ( 976 . A s t e l s ro me c ne i Eonet thasbe n dignos d by a
0 1 1 )
ufkinty eius dial ed s é ha
e a e
physci n a m a tng tea m e or one t ti s obvi t t e n a 1 y pe s w oul ea iy
i a s nda i r t nt
ha s o
ous ha ve
a r on
d sl

r c g ie te n c siy f ra d co ' atnins l o v Sh e e 5 5 F.d 2 ,2 (t Ci.
e o n z h e e st o o t rs te to ' k . rv , 3 3 25 41 4 h r
'
2 0 ) a ap io o t a i é ei eaey id fee t o y i h i n wso a d d se ad (r
0 8 , nd rs n fkil s i lb rtl n ifrn' nl f e & o f n ir g r s o
d
'
k
rs nd l ra o a yt )a e c si ers t imaehe l o s ft 'Fnme v Br n a 51
epo s l e s n bl o n x e sv ik o n t at r aey. r r . e n n, 1
n
h
'
U. 825,8 ( 994)
S.
37 1 .An ofi a' i e i la toromison t tmeey deaysali t'
tcils ntntona c
si ha rl l t nmaes
a ce st ne es a y medialca e may sa e a c tt i lcai onl i pl i ifs
c s o c sr
c
r
tt onsiutona l m
y f antf howst tt
ha he
de e nts co
f nda ' nduc r ule i s t talhn m t t pa int W e v.Ha i lh,281 F.
t es t d n ubsnn i
r o he te .
bb
m dula

App' 1 9,1 (t Ci.2008)( i t ts h s tntalhnm c ed bydely i ke t nt
x 5 66 4h r
notng ha uc ubsa i r aus
a n ame

wo l b G vd n e b . . make ic e s i 'h s mp o c mpan do o t ers v rt )
u d e ç ie c d y . a r d n ra e n'te y t ms o li e f r h i e eiy
e
(iig S ao kv. lr d , 8F.d 1 5 1 0( 0h Ci. 0 0 a dohe c s s.
ctn e l c Coo a o 21 3 20 , 21 1 t r 2 0 ) n t r a e )
Ta ng Bl mtsal ga i i t lghtm os f vor bl t hi ,t c tfndst tBl unt
ki
ot ' le tons n he i
t a a e o m he our i ha o
ha notsa e f c son whi h he c d s
s
ttd a t
c
oul uppor a plusbl c tt i lca m agans N tre
t ny a i e onsiutona li
i t ls
St nl y. W ihoutantr e' r e r t t doc ori t J nua y 5 as esm e not ,prs n polc
a e
t
ls s ef ral o he t n he a r
s s nt e i o
iy
r quie t m e c lsa ft pe f r a t rsck c l a s s m e ton Bl
e r d he di a t f o ro m no he i a l s e s n
ountbef r s he i
o e c dulng
hi t s et docor By J nua y 21 2011 Nur e Ya e ha s duld Bl untf t tr qtied
m o e he t .
a r ,
, s t s d che e o
or ha e lr

sc c l,i r pons t hi J nuar 1 i onnalco pl nt whih c
ik a l n es e o s a y 7 nf
m ai , c ompli d of t çs m e
ane
he ça

5

c mpl ains'a d s rb d t Nu s Co o Jn r 5 Blt Afi .! 1 . I Blt h d
o i to ' s e cie o re x n a uay . omt fd 1 f omt a
c
t r
mde gonet sne y s he e sc c l as e s nt hecoul havebe r f re bef et e
hi wl c duld ik a l s s me ,
d
en e e r d or he nd
oft m ont t s t doc ora utt e ç m plc to . Thus t co tfndsfom Bl '
he
h o ee he t bo hos l
co i ai ns'
'
, he ur i
r
ounts

alg to st t reSm e sçasfe 'a s sme t o ed ly dhi v stt t ed co b j s
le ain ha Nu s tnly' û liid' se s n n t ea e s ii o h o tr y u t
f
ove t we ks a t m os,durng whih tmehi s
r wo e , t he
t i
c i
s ympt sr mai d t s m e
om e ne he n .
Fr m t spoiton,Bl l ' own c c deaye t de ie vii t t d t . Bl mt
o hi n
o mts
hoies l d he sr d st o he oc or ot

r f e t sc calr ques s he ed f li on J nua y 21 2011. I t a Bl
e us d he i k l e t c dul or lm
a r ,
nse d, ounto ed t
pt o
pur e a greva e a t n a a al c
s
' nc nd he n ppe , ompli ng t the s d no have t unde go a be
i
ani ha
houl t
o
r nd

c ge f ano he sc c lbef es ei t docor whe Nur eCox ha ar a a s s d li
har d or t r i k al or e ng he t , n
s
d le dy s es e tm
on J nua y 5 a r f n'd hi t t docor Bewe n Ja r 21 a Aprl 1 2011 Bl nt
a r
nd e e e m o he t . t e nua y
nd
i 9,
, ou
c e t c en r t li ef o t on pr vi t i c r c of N tr e St e s as e s e no e
hos o onc t a e ls f r s
o ng he na cu a y
ls anl y' s s m nt t s

r t r t n s e ng medi lca e t oug t r quied c nnes or hi al ge y wo s i ng
a he ha e ki
ca r , hr h he e r hn l,f
s le dl
re

GERD s oms Ntre Stnly cn be hel la e unde j1 f deayst trs td
ympt . ls a e nnot
d ibl
r 983 or l ha e ule
fom Bl ' own c
r
ounts
onduc , nnme y, hi c c t fght t medial c y i t d of
t
l
s hoie o i
he
c opa nsea
i medit l f l ng t pr e lesr quie f r f ralt t doc or
m
a ey olowi he oc dtr e r d or e e r o he t .
M or ove , Bl ' a lga i do no s
e r ounts le tons
t uppo t a r as
r
e onabl i e e
e nf r nce t he had a
hat
s rousm e ca nee f an i r a eorcha i hi m e c ton. Bl mta t t ther e ve
ei
di l d or nc e s
nge n s dia i
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